| Entity Name: | LALIT K. SHAH, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Jan 1990 (35 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | L45475 |
| FEI/EIN Number | 65-0178709 |
| Address: | % LALIT K. SHAH, M.D., 4725 N. FEDERAL HWY, FT. LAUDERDALE, FL 33308 |
| Mail Address: | PO BOX 39557, FT LAUDERDALE, FL 33339 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LALIT K. SHAH, M.D., P.A. 401K PROFIT SHARING PLAN AND TRUST | 2011 | 650178709 | 2012-01-17 | LALIT K. SHAH, M.D., P.A. | 3 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 650178709 |
| Plan administrator’s name | LALIT K. SHAH, M.D., P.A. |
| Plan administrator’s address | POST OFFICE BOX 39557, FORT LAUDERDALE, FL, 33339 |
| Administrator’s telephone number | 9547763104 |
Signature of
| Role | Plan administrator |
| Date | 2012-01-17 |
| Name of individual signing | JACQUELINE WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2004-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9547763104 |
| Plan sponsor’s address | POST OFFICE BOX 39557, FORT LAUDERDALE, FL, 33339 |
Plan administrator’s name and address
| Administrator’s EIN | 650178709 |
| Plan administrator’s name | LALIT K. SHAH, M.D., P.A. |
| Plan administrator’s address | POST OFFICE BOX 39557, FORT LAUDERDALE, FL, 33339 |
| Administrator’s telephone number | 9547763104 |
Signature of
| Role | Plan administrator |
| Date | 2011-03-14 |
| Name of individual signing | JACQUELINE WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2004-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9547763104 |
| Plan sponsor’s address | POST OFFICE BOX 39557, FORT LAUDERDALE, FL, 33339 |
Plan administrator’s name and address
| Administrator’s EIN | 650178709 |
| Plan administrator’s name | LALIT K. SHAH, M.D., P.A. |
| Plan administrator’s address | POST OFFICE BOX 39557, FORT LAUDERDALE, FL, 33339 |
| Administrator’s telephone number | 9547763104 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-14 |
| Name of individual signing | LALIT K. SHAH, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SHAH, LALIT K., M.D. | Agent | 4725 N. FEDERAL HWY, FT. LAUDERDALE, FL 33308 |
| Name | Role | Address |
|---|---|---|
| BELLUR, JWALANAIAH NMD | Vice President | 4725 N. FEDERAL HWY, FORT LAUDERDALE, FL 33308 |
| Name | Role | Address |
|---|---|---|
| SHAH, LALIT KMD | President | 4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2002-01-24 | % LALIT K. SHAH, M.D., 4725 N. FEDERAL HWY, FT. LAUDERDALE, FL 33308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-01-11 |
| ANNUAL REPORT | 2009-01-06 |
| ANNUAL REPORT | 2008-01-17 |
| ANNUAL REPORT | 2007-01-24 |
| ANNUAL REPORT | 2006-01-31 |
| ANNUAL REPORT | 2005-02-12 |
| ANNUAL REPORT | 2004-02-12 |
| ANNUAL REPORT | 2003-01-10 |
| ANNUAL REPORT | 2002-01-24 |
| ANNUAL REPORT | 2001-01-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
